A stereotypical facial shape in female Asians commonly includes prominent cheeks, benign masseteric hypertrophy (BMH) and micrognathia (MG). These features in combination produces a facial shape that appears disproportionately wide and short creating a squarish and a masculine facial shape which is distant from the desired oval and inverted triangular facial shape often described as a youthful face in reference to “the triangle of beauty”.

According to the triangle of beauty1, “the younger face is characterized by the harmony and balance captured in the classic heart shape or inverted triangle”. There is a reversal of this “triangle of beauty” as aging proceeds and this is generally considered as less attractive. With these changes, the convexities typical of a youthful appearance tend to flatten and droop and produce a squarish facial shape. Although this type of facial contour is commonly seen as an aging phenomenon, the concept of a triangle of beauty is sound and useful in describing the popularity behind the young Asians seeking V-Effect procedures – creating a V line lower face contour with a sharper and pointier chin at the peak of the V (Figure 1). The V effect can be created by the correction of MG (by producing a longer face and a more projected focus on the chin) and with correction of BMH (by producing a longer and a slender appearing jawline). In this way, we can produce an end result, which is in effect restoring the triangle of beauty.

These series of cases will describe the“V-Effect in young female Asians”, a simple non surgical technique of sculpting the lower third of the Asian face by correcting MG using filler chin injections and by correcting BMH using botulinum neurotoxin type A (BoNT-A) injections.

CASE STUDIES

Case Study 1

A young Asian woman with a request to produce a V-effect. This case illustrates a typical example of a young Asian woman with squarish jaw and relatively flat chin. 90 units of Dysport® was injected to each Masseter and 2mL of SubQ® was used to augment the chin. She also received a nose filler enhancement.

Figure 1. Drawing illustrating the mechanism of V-effect in lower face contouring in Asians. Refer to Case 3 for the end outcome.

Case Study 2

A young Asian woman with a request to produce a V-effect. 90 units of Dysport® was injected to each Masseter and 2mL of SubQ® was used to augment the chin. She also received a filler injection for the nose and forehead enhancement as an adjunctive treatment.

Case Study 3

A young Asian woman with a request to produce a V-effect. 90 units of Dysport® was injected to each Masseter and 2mL of Sub Q® was used to augment the chin. She also received a filler injection for nose enhancement and a non-surgical double eyelid procedure using “Durable Suture Technique”2.

DISCUSSION

Defining Asian’s Beauty

There are numerous models and theories available in quantitatively and qualitatively assessing and defining a beautiful face. Currently, an “average attractiveness model” created by a computer morphing technique using Balanced Angular Proportional Analysis seems to be the standard paradigm as its result concur widely with the universal acceptance on what an average Asian would consider an attractive Asian face to be.

Rhee et al3 produced a composite average image of the 20 top Korean entertainers. Numerous standardised landmarks on the face were located and measure on these 20 individuals and then they were averaged. Averaging the position of these landmarks produced an image that is the “averageness” of the top 20 Korean entertainers. The final composite image (Figure 2) shows that in Korea in 2007, this facial shape is what average Koreans have considered to be attractive.

Aesthetic Implications

The Result of Rhee’s article shows that female Asians have a preference towards having overall oval shaped face shape but a distinct V line with a well-projected chin and a slim jaw line. This visual insight into what Asians consider to be a beautiful face gives cosmetic injectors guidance on how we can use our injectables to produce such an outcome. Specific to the contouring of the lower face of a female Asian, when MG & BMH is prevalent amongst Asians, a V-Effect procedure to produce an aesthetically pleasing V-Line is popular and highly sought. The authors also found that there is an increasing trend among the young female Asian population in Australia to seek out procedures that would transform plain facial features to a more distinctive look. BMH and MG do not have to be present in a severe manner before V-effect procedures can be offered, however clear boundaries of achievable goals should be clarified.

Cultural expectations

Asian men also have a cultural predilection for V-effect in the face contour. MH produces a prominent jaw line and is seen as a masculine and “stubborn” image, both of which are unattractive feminine images. An under-prominent chin is also seen as a poor-man’s image. It is surprising to note that these shamanic interpretations are still prevalent in Asian communities and influence their aesthetic ideas (Figure 3).

Figure 3. This photograph5 highlights the similarities of successful candidates with v-effect features. Extensive media and entertainment exposure to the public pushes the newer generation to be reluctant to accept the norm.

Figure 4. Landmark papers on the BonTA masseteric injections (6-10).

Botox jaw injection

BonTA Masseteric injections are one of the more rigorously and scientifically studied topics in the field of cosmetic botulinum injections. Satisfactory results are achievable and no significant long-term side effects have been reported (Figure 4).

Injected BoNTA produces masseteric atrophy hence causing a face slimming effect. There is a dose dependent muscle atrophy. In our experience the maximum benefit can be expected when 90U of Dysport or 30U of Botox is injected into each Masseter. There is a steady reduction of the Masseter volume to the maximum clinical effect in 4-6 weeks after the injection. The slimming effect tends to last for a period of 6-9 months, which is considerably longer than the time at which the muscle regains its strength, which is typically around 4-6 months.

Those patients with larger and stronger Masseter do not respond as well with the first treatment and these patients are offered another injection at 6 weeks follow up. Usually, patients are asked to return in 6-9 months for subsequent treatment of BMH. We see complications in the order of 2 %, and two important complications

are asymmetric smile and pseudo bulging of jaw. They are self limiting but, assymetric smiles, can be distressful for patients during the recovery process.

Chin injection

Chin enhancement is one of those cosmetic procedures that are becoming increasingly popular both by surgery and by injections11. Filler chin injection should lengthen the lower third of the face, project the chin anteriorly, flow smoothly with the jawline to produce a slender and longer jaw line, and to produce a distinct boundary from the neck by way of producing a more acute mentocervical angle. Among the various fillers we have tried, in our experience Sub-Q tend to produce the optimum result as it is a harder filler, greater volumiser, easier to sculpt a nice chin shape. It predictably lasts 9-12 months.

It is very important to maintain the midline and symmetry in the chin filler enhancement and this can be done through 3 bolus injections down to the periosteum. Filler material is directed in a deep preperiosteal position. The non-injecting hand can be use to guide and mold the skin to achieve a seamless transition from jowl to chin.

Ancillary Procedures

Ancillary procedures can be added to supplement the V-effect such as nasal bridge augmentation (case one), cheek augmentation and buccal cheek fat removal. A sharp nasal bridge, slim jaw and prominent chin reinforce the triangle of beauty enhancing a more mature and distinctive look.

Permanence

As with any cosmetic injection, the temporary nature of the cosmetic result is a downside. However this is well accepted by patients as there is almost no downtime and it does not limit their daily lives. For those who wish a more permanent result, silicone chin implant is a relatively simple procedure that we regularly offer to our patients. However we do recommend that they do filler first to ascertain the desired chin projection and shape and this produces a good preoperative guide to choosing the correct implant size and shape.

Conclusion

The synergistic effect of BoNTA jaw reduction and filler chin augmentation produces a powerful contouring of the lower one third of the female Asian face. The simplicity, an easiness, as well as the reproducibility and the effectiveness of V effect enables us to produce a powerful image change, which makes this combined procedure highly popular and desirable in female Asians.

With changes in today’s technology and company market becoming very aggressive, every company should advertise its goods or services to boost the yield on investments. Few companies are changing to internet modes or embracing digital advertising strategies to be able to catch the lucrative online market says Carl Frederic Sealey. You might receive a great deal of traffic on your own site however unless they convert to sales or leads, it wouldn’t be of much use. Digital marketing tools enable business owners that the best opportunities to live in the contest and revel in business development.

Target new client base: Marketing approaches that may place your name in the general public is a favorite ways to draw prospective clients. It’s crucial to distinguish yourself from other people and producing a brand lets you reach new clients easily. Paid advertising in Google can raise the visibility of the website and utilizing digital platforms such as social networking channels or sites are also quite powerful. Being easily available on tablet computers, computers and phones helps to keep up the presence nicely.

Your clients must be conscious of your services or products. For a call to action ought to be utilized that can provide a valuable resource that’s about the service or product. If the client is interested, more applicable information unique to their requirements should be provided. Planning a successful marketing funnel can enable you to turn prospects into buyers.

Be concentrated and accessible: If you achieve extraordinary effects or not, staying focused is the secret to success. It is possible to create appealing content and concentrate in their visual aspects. Impressive images or self-evident diagrams are extremely powerful. To become accessible, you need to have a clear page or some other form wherever your valuable clients can get in contact with you. Alternatives to subscribe to your website or hyperlinks to your social networking profiles would enable your visitors to find normal updates about your small business. Whenever there’s a follower added in your social websites page or there’s a comment or question obtained, be certain that you reach out to this individual. This may definitely add an individual touch and will also allow you to expand your credibility.

Monitor the operation: There are numerous means to monitor the electronic achievement of your company. Good observation would help to maintain a watch on the amount of strikes, help you to examine the repeat traffic and create business from them. Tracking engagements, enjoys, shares and assessing social traffic patterns can allow you to comprehend your electronic advertising effort better and improve upon the areas of weakness.

After the parameters of your electronic advertising are put, you may easily execute your advertising campaign. This can enable you to draw new aims, instruct them about the new services and products and enhance relations with existing customers.

Carl Frederic Sealey concludes that digital advertising is a powerful advertising strategy both for large brands and smallish companies that lets them acquire a competitive advantage over others.

Are you ready to begin in real estate investing, but not certain where to start?
Afraid to create a HUGE Mistake??

Stuck together with the Paralysis of Analysis???

You’re not alone! Just about all property investors needed to spend hundreds of hours at the start of their investment careers exploring the numerous strategies hoping to find out where they ought to start.

While there’s no single right answer for everyone, there are 3 key questions each possible investor needs to ask:

Just how much TIME do I need to invest?

Just how much MONEY do I need to invest?

Just how BIG and FAST do I need my company to finally grow??

A terrific way to begin any venture would be by with an END Target in mind, then laying out a strategy to go do it! Even when you need to make modifications along the way – that you may, the “getting there” is a terrific part of the fun.

Property investing can perform anything from figuring out how to place a fast (in 30 days, or not) EXTRA $5,000 in your pocket each month, to creating all of your financial dreams come true with n yearly high-income income in millions of dollars says Carl Frederic Sealey. You really need to decide upfront, even if you’re interested in finding the multi-millionaire standing, or merely to put some fast money in your pocket to cover invoices.

No matter your fantasies and desires the way you are going to use property investing to get where you need to go in life, we all think there are 3 crucial principles you have to follow, if you will succeed.

If you’re searching for a long-term dedication to this company, then you want to set up upfront you’ll have to set-aside some cash from each one of your transactions/deals to re-invest on your schooling, AND it’s most likely in your very best interest to begin with a single strategy and be ready to switch to another strategy after these goals are satisfied.

For instance, let us say you finally would like to be a developer, but now you’ve got no work and therefore are $50,000 in debt. Your first step may be to make quick money during the next year to pay back the debt, and then half way through making this occur (state in month six) start the process of executing a plan to make enough income from the property investing to leave your work, then as soon as you’ve made a stable foundation (sufficient to cover bills and then some) in your investment action, to begin a strategy to be a programmer. Altogether, this will need three unique strategies.

A “Vintage” error that lots of novice investors will make would be to try all 3 approaches AT the exact same TIME – DO NOT DO THIS!!! Better to learn a plan for fast money, learn it, then proceed, then to try to learn three approaches at precisely the exact same moment.

RULE NUMBER ONE: We are aware we have a good deal of late-night infomercials that say “Come into our FREE seminar, invest $5,000, and tomorrow you may wake up a Millionaire – however the challenge is we’ve never seen anyone who will acknowledge this worked. Additionally, there are individuals who spend more money going to school, or grad school and study the best way to “succeed in property”, also by and large, this may work, in the event that you then move on to dedicate to 25-40 years working as an employee of a property company, making somebody else rich – if you’re lucky enough, you might learn, sufficient (over time) go out by yourself.

RULE NUMBER TWO: And all of us know of individuals who purchase every book, each tape, and proceed to each convention, and eventually become walking property investing “Encyclopedia’s” – BUT NEVER DO ANYTHING WITH IT – BAD IDEA! Why, because if you not put into practice everything you read, or notice, you may finally convince yourself that “this property thing” doesn’t function – UNFORTUNATELY, both background and Forbes Magazine will prove you wrong.

And people who have left their fortunes in different regions (such as operating companies) have reinvested their profits into property than any other asset category.

RULE NUMBER THREE Final Essential Thought – Lots of new investors trick themselves from saying something such as “When I get enough cash…”, or “Once I get enough time…”, or “When I could find a few other things from the way…” I shall begin – BALONY!! What they’re actually saying is “I’m Scared to Death of jealousy in this Real Estate Thing”, and the earlier they stop lying to themselves the earlier something really good will occur in their own lives. The truth is practically every successful property agent out was frightened to death when placing their very first deal together says Carl Frederic Sealey. What made the difference is they moved ahead and did something.

Sir Isaac Newton said it best in his very first Law of Motion: “An object at rest tends to remain at rest and an object in motion tends to remain in motion…” Quite simply – if you continue doing what you’ve been doing, then you should expect to receive exactly the exact outcomes. But if you would like something different for your lifetime, you’ll need to go “in Motion”. You understand that the Real Estate Business from DOING, so the earlier you DO, the Earlier you GET. Now is your day to quit making excuses and to “Move In Motion”.

So with all these three principles in mind, you can be well on your way to making money.

This Clamshell Proximity Card is comparable to DoorKing® 1508-020 Prox-Linc® and is programmed with 26 bit format. This item is programmed to your specifications and is designed for access control, event security, and time & attendance tracking. It includes a Limited Lifetime Warranty against errors in manufacturing. Save up to 50% with our high quality products over other brands.

The CshPrx-DKA26 card has a vertical slot punch and is extremely durable and is perfect for when you need a simple and reliable proximity card. Clamshell cards are not directly printable but can be used with printable id badge stickers. This card is 2.125″ wide and 3.37″ tall.

This Proximity Card is in 26 bit format. The internal Facility Code can be any number between 0 and 255. The internal Card Number can be any number between 1 and 65,535. Please add any special instructions to the notes section on the order checkout page. If you do not specify a Facility Code or Starting Number when ordering, the default Facility Code or Starting Number below will be used. Please call us if you need help determining the correct Facility Code or Starting Number.

Default Facility Code: 110

Default Starting Number: 25000

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